GEORGE TIMOTHY KELLY (NPI# 1619944113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619944113 |
| Entity Type | Individual |
| Full Name | GEORGE TIMOTHY KELLY |
| Credential | MD |
| Practice Address |
7200 Cathedral Rock Dr #110 Las Vegas NV 89128-0438 |
| Practice Telephone | 7023415444 |
| Practice Fax Number | 7023415445 |
| Mailing Telephone | 7023415444 |
| Mailing Fax Number | 7023415445 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2008-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD5260 | NV | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | TAX ID # | 88-0388402 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770131245 | George Washington Kelly | Counselor | 40 N Swan Rd Ste 114, Tucson, AZ 85711-3019 | 2019-08-28 |
| 1760592851 | George Peter Kelly | Dentist | 101 South Front St, Suite 509, Marquette, MI 49855-4641 | 2006-08-30 |
| 1700223930 | George Patrick Kelly | Family Medicine | 333 East Campus Mall, Office #5139, Madison, WI 53175-1381 | 2013-05-29 |
| 1417140815 | George Philip Kelly | Psychiatry & Neurology | 10 Mott Ave, Norwalk, CT 06850-3320 | 2007-08-20 |
| Street Address |
7200 CATHEDRAL ROCK DR #110 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-0438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053624619 | Patricia Ann Brassfield Phd Ltd | Psychologist | 7200 Cathedral Rock Dr, Suite 120, Las Vegas, NV 89128-0438 | 2010-07-23 |
| 1205082088 | Jan Pring | Internal Medicine | 7200 Cathedral Rock Dr, Suite 170, Las Vegas, NV 89128-0438 | 2008-08-13 |
| 1689702474 | Richard R. Briggs, M.d., A Professional Organization | Orthopaedic Surgery | 7200 Cathedral Rock Dr, #170, Las Vegas, NV 89128-0438 | 2007-03-01 |
| 1467521401 | Thomas L Vater Do Ltd | Orthopaedic Surgery | 7200 Cathedral Rock Dr, 210, Las Vegas, NV 89128-0438 | 2006-11-06 |
| 1730263203 | Jerry Kent Sanders | Registered Nurse | 7200 Cathedral Rock Dr, Suite 210, Las Vegas, NV 89128-0438 | 2006-10-24 |
| 1770667115 | Norman Selby Gould | Counselor | 7200 Cathedral Rock Dr, #120, Las Vegas, NV 89128-0438 | 2006-10-24 |
| 1770670226 | Bruce J Hirschfeld | Surgery | 7200 Cathedral Rock Dr, Ste #130, Las Vegas, NV 89128 | 2006-10-06 |
| 1891714697 | Joan Israel | Social Worker | 7200 Cathedral Rock Dr, Suite 120, Las Vegas, NV 89128-0438 | 2006-07-19 |
| 1568425940 | Patricia Ann Brassfield | Psychologist | 7200 Cathedral Rock Dr, 120, Las Vegas, NV 89128-0438 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710503305 | Michelle Mong Chan | Specialist | 5250 S Rainbow Blvd Unit 1138, Las Vegas, NV 89118-0630 | 2020-06-19 |
| 1821627878 | Anita Sidhu | Specialist | 9916 Pipestone St, Las Vegas, NV 89141-8667 | 2020-04-02 |
| 1316571144 | Jessica Lynn Bosch | Specialist | 2452 Desert Glen Dr, Las Vegas, NV 89134-8871 | 2020-03-02 |
| 1255963229 | Samantha Muro | Specialist | 4400 S Jones Blvd Unit 1017, Las Vegas, NV 89103-3336 | 2020-02-07 |
| 1417431024 | Misnelli Diaz-osorio | Specialist | 4714 E Flamingo Rd, Las Vegas, NV 89121-4709 | 2018-09-19 |
| 1265920011 | Mike Henley | Specialist | 8220 W Charleston Blvd, Las Vegas, NV 89117-1219 | 2018-04-27 |
| 1811485691 | George Alan Wheeler | Specialist | 2750 S Durango Dr Apt 2058, Las Vegas, NV 89117-2645 | 2018-04-26 |
| 1477082261 | Stephanie Staub | Specialist | 929 Boulder Mesa Dr Unit 102, Las Vegas, NV 89128-4151 | 2017-06-06 |
| 1124562327 | Medical Massage Rehab, LLC | Specialist | 945 Falconhead Ln Unit 202, Las Vegas, NV 89128-0332 | 2016-12-07 |
| 1396296323 | Kori Jeffries | Specialist | 8625 Dollhouse Dr, Las Vegas, NV 89145-4839 | 2016-10-14 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.